How Does Medical Care And Chiropractic Care Stack Up For Low Back Pain?

Thursday, August 13th, 2015
Low back is one of the biggest issues that is seen in physical medicine and primary care clinics. There have been questions as to the effectiveness of Mechanical-Assisted Manipulation when compared to regular Manual-Thrust Manipulation as well as to the effectiveness of manipulation compared to Usual Medical Care. 

Why They Did It

The authors in this study wanted to find out what the effectiveness was of the following treatment protocols:

  • manual-thrust manipulation (MTM) vs. mechanical-assisted manipulation (MAM), and
  • manual-thrust manipulation (MTM) vs. usual medical care (UMC)

How They Did It

  • 107 adults with low back pain within 12 weeks
  • Randomized the treatment groups into MTM, MAM, or UMC
  • Measured outcomes with Oswestry Low Back Pain Questionnaire and the Numeric Pain Rating scale
  • Patients in the manipulation groups were treated 2x/week for 4 weeks
  • Patients in the UMC group were treated 3 times during the same time period. 
  • Outcome measurements were performed at the start, 4 weeks in, 3 months in, and then 6 months in. 

What Did They Find?

  • There was a statistically significant advantage of Manual-Thrust Manipulation at 4 weeks compare with MAM and UMC. 
  • Similar results were found in regards to statistically significant pain reduction in across the groups. Manual-Thrust Manipulation won the day. 

Wrap Up

Manual-Thrust Manipulation (a.k.a. – CHIROPRACTIC) shows statistically significant effectiveness short-term in self-reported Outcome Assessments when compared to Usual Medical Care and Mechanical Assisted Manipulation. 

The citation for this abstract is:
Schneider M, Haas M, et. al. Comparison of spinal manipulation methods and usual medical care for acute and subacute low back pain: a randomized clinical trial; Spine. 2015 Feb 15; 40(4):209-217.

Just another reason to call a chiropractor TODAY

Research and clinical experience shows that, in about 80%-90% of headaches, neck, and back pain, in comparison to the traditional medical model, patients get good or excellent results with Chiropractic. Chiropractic care is safe, more cost-effective, it decreases your chances of having surgery, and it reduces your chances of becoming disabled.  We do this conservatively and non-surgically. In addition, we can do it with minimal time requirements and minimal hassle on the part of the patient. And, if the patient develops a “preventative” mindset going forward from initial recovery, we can likely keep it that way while raising your general, overall level of health!  

We have seen time and time again the amazing effectiveness of chiropractic for issues such as neck out of alignment, hips out of alignment, back alignment, lower back alignment hip out of alignment, back out of alignment, etc… We have just about seen it all. 

Please feel free to leave a comment and tell me your thoughts. I’d love to hear what you think. 

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Till next time……

The Amarillo Chiropractor Blog is written by Dr. Jeff Williams.

Amarillo TX Amarillo Pain & Accident Chiropractic Clinic provides customized chiropractic care to the Amarillo, Canyon, Pampa, Happy, White Deer, Dumas, Groom, Conway, Panhandle, Claude, Clarendon, Borger, Tulia, Hereford, Fritch, Bushland, and Vega communities. Visit our main website at for customized Chiropractic in Amarillo TX.

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by Jeff S. Williams, D.C.
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